Hosp Case Manag. 2011 Oct;19(10):150, 155.
The long-term acute care liaison at Pennsylvania State University Milton S. Hershey Medical Center identifies patients eligible for a long-term acute care hospital (LTACH) stay and coordinates their transition. The LTACH liaison works with the case management and social work staffto identify patients early in the stay and give families information they can use to make an informed decision about a facility. The liaison follows up with the LTACH treatment team to ensure that they have all the information they need and feel comfortable about the treatment plan. As a result of the program, the hospital has increased the number of patients it transfers to LTACHs each month from about 18 to about 30.
宾夕法尼亚州立大学米尔顿·S·赫尔希医疗中心的长期急性病护理联络专员负责确定符合入住长期急性病护理医院(LTACH)条件的患者,并协调他们的转诊事宜。LTACH联络专员与病例管理和社会工作团队合作,在患者住院早期就确定人选,并向家属提供信息,以便他们能够做出关于医疗机构的明智决策。联络专员会跟进LTACH治疗团队,确保他们掌握所需的所有信息,并对治疗方案感到放心。由于该项目,医院每月转至LTACH的患者数量从约18例增加到了约30例。